Individual
JOANNA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6623 CALLAGHAN RD APT 2402, SAN ANTONIO, TX 78229-5164
(210) 638-0640
Mailing address
6623 CALLAGHAN RD APT 2402, SAN ANTONIO, TX 78229-5164
(210) 638-0640
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1033996
TX
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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